{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T22:43:27Z","timestamp":1793659407642,"version":"4.5.1"},"reference-count":123,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:00:00Z","timestamp":1732752000000},"content-version":"unspecified","delay-in-days":332,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol Psychiatr Sci"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S2045796024000672_sec1a\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>Although natural hazards (e.g., tropical cyclones, earthquakes) disproportionately affect developing countries, most research on their mental health impact has been conducted in high-income countries. We aimed to summarize prevalences of mental disorders in Global South populations (classified according to the United Nations Human Development Index) affected by natural hazards.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2045796024000672_sec2b\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>To identify eligible studies for this meta-analysis, we searched MEDLINE, PsycINFO and Web of Science up to February 13, 2024, for observational studies with a cross-sectional or longitudinal design that reported on at least 100 adult survivors of natural hazards in a Global South population and assessed mental disorders with a validated instrument at least 1 month after onset of the hazard. Main outcomes were the short- and long-term prevalence estimates of mental disorders. The project was registered on the International Prospective Register of Systematic Reviews (CRD42023396622).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2045796024000672_sec3c\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>We included 77 reports of 75 cross-sectional studies (six included a non-exposed control group) comprising 82,400 individuals. We found high prevalence estimates for post-traumatic stress disorder (PTSD) in the general population (26.0% [95% CI 18.5\u201336.3]; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> = 99.0%) and depression (21.7% [95% CI 10.5\u201339.6]; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> = 99.2%) during the first year following the event, with similar prevalences observed thereafter (i.e., 26.0% and 23.4%, respectively). Results were similar for regions with vs. without recent armed conflict. In displaced samples, the estimated prevalence for PTSD was 46.5% (95% CI 39.0\u201354.2; <jats:italic>k<\/jats:italic> = 6; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> = 93.3). We furthermore found higher symptom severity in exposed, versus unexposed, individuals. Data on other disorders were scarce, apart from short-term prevalence estimates of generalised anxiety disorder (15.9% [95% CI 4.7\u201342.0]; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> = 99.4).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2045796024000672_sec4d\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Global South populations exposed to natural hazards report a substantial burden of mental disease. These findings require further attention and action in terms of implementation of mental health policies and low-threshold interventions in the Global South in the aftermath of natural hazards. However, to accurately quantify the true extent of this public health challenge, we need more rigorous, well-designed epidemiological studies across diverse regions. This will enable informed decision making and resource allocation for those in need.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s2045796024000672","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T08:25:53Z","timestamp":1732782353000},"source":"Crossref","is-referenced-by-count":20,"title":["Prevalence of mental disorders in adult populations from the Global South following exposure to natural hazards: a meta-analysis"],"prefix":"10.1017","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6399-2516","authenticated-orcid":false,"given":"A.","family":"Kip","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Valencia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Glunz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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